The problem with the Norco seems to be with the scrip itself. It was not filled out right. Flexeril and Ultram were filled out correctly.
The law I'm referring to is doctors prescribing pain meds long term. They have to be board certified pain specialists, whose clients are more than 51% pain relatedwww.medscape.com/resource/opioid/opioid-louisiana
Specifically: "The Louisiana rule defines a pain management clinic as a publicly or privately owned facility which primarily engages in the treatment of pain by prescribing narcotic medications. The rule defines primarily engages
as the issuance of a narcotic prescript
ion for the treatment of chronic nonmalignant pain to 51% or more of the patients seen on any day the clinic is in operation.
Subject to certain very specific exceptions, the Louisiana rule requires that each clinic be 100% owned and operated by a physician certified in the subspecialty of pain management by a member board of the American Boards of Medical Specialties. Pain management clinics are subject to a number of other requirements as set forth in the rules. The Louisiana Board will deem it unprofessional conduct for a physician to practice in a clinic that is not in conformity with its rules"
This means that your regular doc cannot write a pain scrip for something "that persists beyond the usual course of a disease, beyond the expected time for healing from bodily trauma, or pain associated with a long-term incurable or intractable medical illness or disease." Short term, or whatever "usual length" is, is fine, after that, by law, it has to go to pain management.
So, evidently, the way this is happening, is by checking in with him monthly, the dosages and/or meds can be evaluated and changed, I expect, depending on any changes in my symptoms. Which would not be considered pain management, as the specialty is not available to me due to my current financial status.
That is, on SS disability, but getting a little too much for state run medicaid, but I do not qualify for federal Medicare until I have been on disability for 2 years, which will be in Jan of 2014. I'm completely out of pocket for all of my meds and supplies until that point, but I do qualify for indigent care at the state-run LSU Hospital system, which does allow me access to residents mostly, but it's better than nothing. I also see a psychiatrist at a local non-profit clinic that works on a sliding scale according to your income, and they have a discount pharmacy. Psych visits are $25 (the minimum).